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Individual

PAIGE MARIE LOMBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7222 ENGLE ROAD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003
Mailing address
7222 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 432-5005
(260) 432-6003

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007244A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
71007244A
STATE LICENSE
IN
Enumeration date
07/11/2017
Last updated
07/21/2022
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